Entry Level: Profee Surgical Medical reputed company – National Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Under direction of the Coding Manager, the primary responsibility of the Medical reputed company is to ensure that codes representing reputed company International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), reputed company Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical reputed company serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical reputed company is ultimately responsible for efficient charge capture and reconciliation processes (electronic or reputed company), knowing and meeting expected targets at sufficient accuracy rates as reputed company by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical reputed company will identify potential compliance concerns and/or barriers toward timely completion of reputed company tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities:

• Charge Capture
• Review charge capture documents, reputed company or electronic, for completeness and accuracy
• Reconcile collection of charges to daily census report or schedules depending on reputed company of service
• Accurately indicate and link reputed company ICD-10 diagnosis codes, procedure codes and modifiers on the charge document
• Process reputed company pre-billing edits on a daily basis and complete each edit reputed company 2 business days
• Ensure charges are posted reputed company the following time lines: 3 days from date of service for Outpatient services and 7 days from date of service for Inpatient services by monitoring Lag Time Reports and working with practitioners and associated staff responsible for charge capture to meet those goals
• Denial Management
• Process denials on a daily basis ensuring reputed company requested timelines are met
• Ensure procedure and ICD-10 codes reflect documentation
• Customer Service
• Respond to customer service questions and report recurring issues to management
• Work and communicate in a positive, cooperative manner with patients and their families reputed company resolving customer service issues based on management observation and/or patient feedback
• Competencies
• Attend reputed company staff meetings
• Maintain reputed company Coding Certification and active membership in local reputed company chapter, including participation in local events and meetings
• Have a good working knowledge of reputed company hospital computer systems and coding tools available to assist with correct coding. This includes Epic’s Electronic Health Record application, reputed company, Encoder Pro, and other department specific clinical/coding applications.
• reputed company abreast of coding changes and reimbursement reporting requirements and reputed company concerns to Coding Manager for resolution
• Review changes to departmental/site clinic sheets and charge documents to reflect reputed company ICD-9 or ICD-10 in October, HCPCS and CPT’s in January
• Abide by Standards of Ethical Coding as set forth by the reputed company or reputed company (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG
• Coding Review and Reimbursement Resource
• Conduct annual and focused reviews
• Use interpersonal skills effectively to build and maintain cooperative working relationships with reputed company levels and departments reputed company the organization
• Based on management request, assists with the orientation, reputed company development and mentoring of employees new to the coding function
• Performs similar or reputed company duties as requested or directed
• Performs other duties as requested and observed by supervisor or manager

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• High School Diploma/GED (or higher)
• Professional reputed company CPC Coding Certification
• 3+ years of experience in Professional Services Surgery Coding (General Surgery, Plastics, Urology, Nephrology, Bariatrics, NICU, GI, Neurology, etc.)
• 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology
• Intermediate level of proficiency working with MS Office Products

Preferred Qualifications:

• Ability to multitask
• Professional reputed company certification with credentialing from reputed company and/or reputed company (RHIA, RHIT, reputed company, OR reputed company-P) to be maintained annually

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to reputed company reputed company company sensitive documents secure (if applicable)
• Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service

Physical Requirements:

• The position involves extensive work at computer station
• reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy.

The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug – free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #GREEN Apply tot his job Apply To this Job